Premenstrual syndrome is associated with altered cortisol awakening response

Hou, Lulu; Huang, Yamei; Zhou, Renlai

doi:10.1080/10253890.2019.1608943

Cited by 28 publications

(21 citation statements)

References 48 publications

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“…Cortisol levels at rest and during exercise appear to be independent of the MC phase, with the same increment in response to prolonged submaximal exercise [ 335 , 355 , 356 , 357 , 358 ] as adrenocorticotropic hormone (ACTH) [ 355 ]. However, cortisol responses to awakening remain discrepant, with either no change across MC [ 359 , 360 ] or a blunted response in LaL and EaF [ 361 , 362 ]. The relationship between changes in E2 and PG and thyrotropin (TSH), T3, and PRL concentrations with or without stimulation has been investigated, with little or no effect observed [ 363 , 364 ].…”

Section: Possible Mechanisms: Performance and Health Risksmentioning

confidence: 99%

The Specificities of Elite Female Athletes: A Multidisciplinary Approach

Castanier

Bougault

Jaffré

et al. 2021

Life

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Female athletes have garnered considerable attention in the last few years as more and more women participate in sports events. However, despite the well-known repercussions of female sex hormones, few studies have investigated the specificities of elite female athletes. In this review, we present the current but still limited data on how normal menstrual phases, altered menstrual phases, and hormonal contraception affect both physical and cognitive performances in these elite athletes. To examine the implicated mechanisms, as well as the potential performances and health risks in this population, we then take a broader multidisciplinary approach and report on the causal/reciprocal relationships between hormonal status and mental and physical health in young (18–40 years) healthy females, both trained and untrained. We thus cover the research on both physiological and psychological variables, as well as on the Athlete Biological Passport used for anti-doping purposes. We consider the fairly frequent discrepancies and summarize the current knowledge in this new field of interest. Last, we conclude with some practical guidelines for eliciting improvements in physical and cognitive performance while minimizing the health risks for female athletes.

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Section: Possible Mechanisms: Performance and Health Risksmentioning

confidence: 99%

The Specificities of Elite Female Athletes: A Multidisciplinary Approach

Castanier

Bougault

Jaffré

et al. 2021

Life

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“…Women with PMDD were excluded from the present investigations because, in DSM‐5, this condition, but not PMS, is classified as a depressive disorder, which explains its pathophysiology could be similar to depression. The present study design did not include cortisol awakening response, which was found to be attenuated in women with PMS regardless of the menstrual cycle phases 17 …”

Section: Discussionmentioning

confidence: 98%

“…The present study design did not include cortisol awakening response, which was found to be attenuated in women with PMS regardless of the menstrual cycle phases. 17 A disturbance of diurnal pattern of aldosterone secretion may be assumed based on a flatter morning to evening aldosterone slope observed in women with PMS in the early luteal phase. Thus, there are phase-specific changes in the shape of the diurnal curve.…”

Section: Discussionmentioning

confidence: 99%

“…There are only few studies that report significant differences; however, the specific changes are not consistent 16 . A recent study by Hou et al 17 showed a significantly attenuated cortisol awaking response in women with PMS compared to healthy controls. Similarly, women with PMDD exhibited a delayed cortisol awakening response peak and a flattened diurnal cortisol slope 18 …”

Section: Introductionmentioning

confidence: 99%

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Steroid stress hormone changes throughout the menstrual cycle: A rise in evening aldosterone concentration in early luteal phase precedes the symptoms of premenstrual syndrome

Izáková

Hlavacova

Ježová

2021

J Neuroendocrinology

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Premenstrual syndrome (PMS), manifested by recurrent emotional and somatic symptoms that interfere with normal activities, occurs in the greatest severity during the late luteal phase, a week prior to the onset of menses. 1,2 A smaller part of women experiences more severe premenstrual symptoms classified as premenstrual dysphoric disorder (PMDD). The symptoms improve or disappear few days after the onset of menses, during spontaneous or hormonal contraception suppressed anovulatory cycles, in pregnancy, and

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“…The Cronbach's alpha = 0.80 in Wu et al (29) and 0.91 in the present study. Furthermore, the scale was deemed valid in differentiating women with PMS from those without PMS (21,(29)(30)(31) and reflected PMS severity (32,33).…”

Section: Pms Scalementioning

confidence: 99%

Reduced Reward Responsiveness in Women With Moderate - to - Severe Premenstrual Syndrome: Evidence From a Probabilistic Reward Task

et al. 2020

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Nearly 50% of women of reproductive age worldwide experience premenstrual syndrome (PMS). Women with PMS exhibit low positive affect and low frontal electroencephalography asymmetry scores, both of which are associated with reward processing. These findings suggest that women with PMS may exhibit deficiencies in reward processing. A probabilistic reward task based on signal detection approach was used to assess reward responsiveness in 30 women with moderate-to-severe PMS and 31 controls without PMS. The results revealed that in the late luteal phase, the women with moderate-to-severe PMS exhibited lower response bias and lower hit rate toward more frequently rewarded stimuli (rich stimuli) than the controls. By contrast, the response bias and hit rate did not differ between the two groups in the follicular phase. The group differences still remained after controlling for anhedonic symptoms. Furthermore, trial-bytrial probability analyses revealed that women with moderate-to-severe PMS exhibited a trend of having a higher miss rate for rich stimuli than the controls. In particular, when a rich stimulus was preceded by an infrequently rewarded stimulus (a rewarded lean stimulus), participants in the PMS group exhibited a trend for higher miss rate than those in the control group in the late luteal and follicular phases. However, group differences in the probability analyses were nonsignificant after controlling for anhedonic symptoms. These results provide preliminary evidence that women with moderate-to-severe PMS exhibit dysfunctional reward responsiveness and impaired ability to modulate their behavior as a function of prior reinforcement.

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Premenstrual syndrome is associated with altered cortisol awakening response

Cited by 28 publications

References 48 publications

The Specificities of Elite Female Athletes: A Multidisciplinary Approach

The Specificities of Elite Female Athletes: A Multidisciplinary Approach

Steroid stress hormone changes throughout the menstrual cycle: A rise in evening aldosterone concentration in early luteal phase precedes the symptoms of premenstrual syndrome

Reduced Reward Responsiveness in Women With Moderate - to - Severe Premenstrual Syndrome: Evidence From a Probabilistic Reward Task

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